Citation

Trabold F, Orliaguet G, Meyer P, Carli P. Ann. Fr. Anesth. Reanim. 2002; 21(1): 42-45.

Vernacular Title

Arret cardiocirculatoire chez l'enfant traumatise: une cause rare, la luxation

Affiliation

Département d'anesthésie-réanimation chirurgicale, hôpital Necker-Enfants Malades, 149, rue de Sèvres, 75743 Paris, France.

Copyright

(Copyright © 2002, Elsevier Publishing)

DOI

unavailable

PMID

11878123

Abstract

We report the case of a trauma child who developed a cardiac arrest due to atlanto-occipital luxation of the cervical spine. The occurrence of a rapidly reversible cardiac arrest in a trauma patient should alert physicians about cervical trauma. Adequate resuscitation of these patients require endotracheal intubation with concomitant full immobilisation of the cervical spine, plasma expansion to prevent arterial hypotension and immobilisation of the cervical spine during transport. Thorough application of these resuscitation techniques should increase the survival rate on admission to trauma centres of paediatric patients presenting with such a severe condition. Nevertheless, atlanto-occipital luxation is a major cause of paediatric cervical trauma mortality and our patient did not survive this condition.

Language: fr